Application For The Coal Mine Operator Response To The Submission Of Additional Evidence And Operator Response To Notice Of Claim

NON- SUBSTANTIVE CHANGE REQUEST FOR THE APPLICATION FOR THE COAL MINE OPERATOR RESPONSE TO THE SUBMISSION OF ADDITIONAL EVIDENCE AND OPERATOR RESPONSE TO NOTICE OF CLAIM FORMS CM-2970, & CM-2970a

OMB CONTROL NO. 1240-0033 (January 2024)

DCMWC is requesting a non-substantive change to the recently approved collection of information contained in the “Coal Mine Operator Response to Schedule for Submission of Additional Evidence and Operator Response to Notice of Claim” to update the URL of the coal mine portal, add our toll-free telephone number, and change the suite number of DCMWC’s mailing address in the CM-2970 & CM-2970a Forms.

DCMWC seeks to revise the recently approved CM-2970 & CM-2970a as follows:

• Two Filling Options:

1.To file electronically, submit completed form to the COAL Mine Portal: https://coalmine.dol.gov

2. To file by mail, submit completed form to:

OWCP/DCMWC/CMR Correspondence

PO Box 8307

London, KY 40742-8307

For Further information call TOLL FREE: 1-800-347-2502

• Under Public Burden Statement change address to 200 Constitution Avenue, N.W., Suite C3520-DCMWC, Washington, D.C. 20210

These changes request do not affect the burden hours. The burden hours remain the same.

The revised forms are attached to this change request.